Rose Foot And Ankle, P.c. | |
4400 Grant Blvd Ste 110, Yukon, OK 73099-0038 | |
(405) 733-1711 | |
(405) 733-3111 |
Full Name | Rose Foot And Ankle, P.c. |
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Type | Facility |
Speciality | Podiatrist |
Location | 4400 Grant Blvd Ste 110, Yukon, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003911777 | NPI | - | NPPES |
480009481 | Other | OK | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
Provider Name | Jody Rose |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184623001 PECOS PAC ID: 2769489947 Enrollment ID: I20061211000490 |
Mailing Address | Practice Location Address |
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Rose Foot And Ankle, P.c. 4400 Grant Blvd Ste 110, Yukon, OK 73099-0038 Ph: (405) 733-1711 | Rose Foot And Ankle, P.c. 4400 Grant Blvd Ste 110, Yukon, OK 73099-0038 Ph: (405) 733-1711 |
Dr. Jody Gene Rose, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4400 Grant Blvd Ste 110, Yukon, OK 73099 Phone: 405-733-1711 Fax: 405-733-3111 | |
Foot & Ankle Surgeons Of Oklahoma Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1703 Professional Cir Ste 101, Yukon, OK 73099 Phone: 405-418-4500 Fax: 405-418-4501 | |
John James Ditmars, Jr. Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 47 N Kimbell Rd, Yukon, OK 73099 Phone: 405-354-5191 Fax: 405-262-1088 | |
Darren Elenburg Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1703 Professional Cir Ste 101, Yukon, OK 73099 Phone: 405-418-2676 Fax: 405-418-2677 | |
Dr. Kiersten B. Weber Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1205 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-7955 Fax: 405-717-7958 |